| NPI | 1801175757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 18649) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 56516) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2023-09-29 |